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May 1, 1969Circulation

Surgical Intervention in Chronic Postinfarction Cardiac Failure

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Why the study?

Does open intracardiac operation improve outcomes in patients with severe, chronic postmyocardial infarction cardiac failure?

Population

n=7 patients with severe, chronic postmyocardial infarction cardiac failure

Design

Case_series

Follow-up

up to 1 year

Authors

MHMaureen A. HarmanUniversity of Alabama at BirminghamWBWilliam A. BaxleyUniversity of Alabama at BirminghamWJWilliam B. JonesParsons (United States)

Discussion

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Implication

High perioperative mortality cautions against routine surgery in chronic post-MI failure; leaves open benefit of LV resection in selected cases.

Structured PICO

Does open intracardiac operation improve outcomes in patients with severe, chronic postmyocardial infarction cardiac failure?

P
Population
n=7 patients with severe, chronic postmyocardial infarction cardiac failure
I
Intervention
Open intracardiac operation (mitral valve replacement or resection of scarred akinetic area of left ventricular myocardium)
O
Outcome
Survival and clinical/hemodynamic improvementhard clinical

Open intracardiac surgery in patients with severe chronic postinfarction heart failure may provide clinical and hemodynamic benefits in selected patients, despite high mortality.

Cite This Study

Harman et al. (1969) studied this question.

synapsesocial.com/papers/6a857737581d4f62e2d5a346https://doi.org/10.1161/01.cir.39.5s1.i-91

Topics

Heart failureHFrEF treatmentMitral valve intervention
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Surgery in Myocardial Infarction1972
  2. 2The role of surgery in the treatment of patients with complications of acute myocardial infarction1978 · 5 citations
  3. 3PERFORATION OF THE INTERVENTRICULAR SEPTUM COMPLICATING MYOCARDIAL INFARCTION1978 · 8 citations
  4. 4Postmyocardial Infarction Complications Requiring Surgery1977 · 2 citations
  5. 5Patient Selection for Cardiac Surgery in Left Ventricular Power Failure1975 · 7 citations